Abstract
To describe and compare the epidemiological profile of cases of tuberculosis and HIV coinfection of the District Administration Health Units of Porto Alegre, Brazil, from 2009 to 2013. Retrospective cohort with data from national health information systems. Sociodemographic, clinical and follow-up variables were investigated through association tests. 2,419 cases of tuberculosis and HIV coinfection were reported, with a mean age of 38 ± 9.91 years, predominantly white and with up to 7 years of study. The comparison between the District Administration Health Units was significant in terms of race/color (p<0.001), gender (p<0.001), schooling (p<0.004), age (p<0.003), place of origin (p<0.001), (p<0.001), alcoholism (p<0.001), indication and performance of Directly Observed Therapy (p<0.001), closure (p<0.001). Socioeconomic and treatment variables influence the occurrence of coinfection in different areas of Porto Alegre, reinforcing that the sum of different factors explains the indicators of the disease.
Highlights
Public Health is a field that has developed in Brazil since the 70’s, its trajectory predates this
In 2015, tuberculosis was one of the leading causes of death for people living with Human Immunodeficiency Virus (HIV) worldwide, reaching approximately 1.4 million deaths, with 400,000 deaths resulting from tuberculosis among people living with HIV[2]
From 2009 to 2013, 2,419 cases of people coinfected with Tuberculosis and HIV were identified in Porto Alegre, considering reentry in the tuberculosis database
Summary
Public Health is a field that has developed in Brazil since the 70’s, its trajectory predates this. Public Health contributes to the training of professionals qualified to work in the Brazilian Unified Health System (SUS - Sistema Único de Saúde) and to promote, in their daily practice, the principles and guidelines of universality, comprehensiveness, equity and social participation[1]. In this sense, Public Health, as a field of knowledge, helps professionals to know the elements that make up the biological, physical and social environments implicated in the health-disease process, as well as the characteristics of the users and the places where they live, influencing their performance in a way that is committed to SUS principles. In 2015, tuberculosis was one of the leading causes of death for people living with HIV worldwide, reaching approximately 1.4 million deaths, with 400,000 deaths resulting from tuberculosis among people living with HIV[2]
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